L Del Carpio-Orantes1, E R Contreras-Sánchez2, R I Luna-Ceballos3. 1. Departamento de Medicina Interna, Hospital General de Zona 71, Delegación Veracruz Norte, Instituto Mexicano del Seguro Social, Veracruz, México. Electronic address: neurona23@hotmail.com. 2. Unidad de Medicina Familiar 61, Delegación Veracruz Norte, Instituto Mexicano del Seguro Social, Veracruz, México. 3. Coordinación de Investigación en Salud, Delegación Veracruz Norte, Instituto Mexicano del Seguro Social, Veracruz, México.
Abstract
INTRODUCTION AND OBJECTIVES: Emerging arbovirus infections have classic symptoms such as fever, arthralgia, or rash. As some of them have ophthalmic symptoms/signs, the main objective is to evaluate whether these findings could help to clarify the clinical diagnosis. MATERIAL AND METHODS: A descriptive and retrospective study was conducted, in which cases of adults who attended an evaluation in 2016. The general and ophthalmic symptoms were analysed on those meeting the definition of dengue, Zika, and chikungunya. RESULTS: A total of 10,327 cases of arbovirosis were recorded, of which 5,388 (52.2%) were Dengue, 3,529 (34.1%) Zika, and 1,410 (13.6%) were Chikungunya. The main symptoms and signs of Dengue were: fever, headache/retro-orbital pain, arthralgia, rash, and nausea/vomiting. For Zika cases they were: exanthema, swollen glands, headache, arthralgia, and conjunctivitis, and for Chikungunya cases: rash, fever, arthritis, headache, and náusea/vomiting. The group with the most ophthalmic signs/symptoms was Zika, predominantly non-purulent conjunctivitis and retro-orbital pain, epiphora, episcleritis, anterior uveitis, as well as neurological syndromes such as isolated cranial nerve palsy (III and IV) or Miller Fisher syndrome. CONCLUSIONS: Ophthalmic signs/symptoms of Zika infection can help the clinical diagnosis of these arbovirosis.
INTRODUCTION AND OBJECTIVES:Emerging arbovirus infections have classic symptoms such as fever, arthralgia, or rash. As some of them have ophthalmic symptoms/signs, the main objective is to evaluate whether these findings could help to clarify the clinical diagnosis. MATERIAL AND METHODS: A descriptive and retrospective study was conducted, in which cases of adults who attended an evaluation in 2016. The general and ophthalmic symptoms were analysed on those meeting the definition of dengue, Zika, and chikungunya. RESULTS: A total of 10,327 cases of arbovirosis were recorded, of which 5,388 (52.2%) were Dengue, 3,529 (34.1%) Zika, and 1,410 (13.6%) were Chikungunya. The main symptoms and signs of Dengue were: fever, headache/retro-orbital pain, arthralgia, rash, and nausea/vomiting. For Zika cases they were: exanthema, swollen glands, headache, arthralgia, and conjunctivitis, and for Chikungunya cases: rash, fever, arthritis, headache, and náusea/vomiting. The group with the most ophthalmic signs/symptoms was Zika, predominantly non-purulent conjunctivitis and retro-orbital pain, epiphora, episcleritis, anterior uveitis, as well as neurological syndromes such as isolated cranial nerve palsy (III and IV) or Miller Fisher syndrome. CONCLUSIONS: Ophthalmic signs/symptoms of Zika infection can help the clinical diagnosis of these arbovirosis.
Authors: Liziane Cristine Malaquias da Silva; Fernanda da Silva Platner; Lauany da Silva Fonseca; Virgílio Frota Rossato; Dian Carlos Pereira de Andrade; João de Sousa Valente; Susan Diana Brain; Elizabeth Soares Fernandes Journal: Pathogens Date: 2022-03-29
Authors: Yordi Tarazona-Castro; Lucinda Troyes-Rivera; Johanna Martins-Luna; Felipe Cabellos-Altamirano; Miguel Angel Aguilar-Luis; Hugo Carrillo-Ng; Luis J Del Valle; Sungmin Kym; Sebastian Miranda-Maravi; Wilmer Silva-Caso; Saul Levy-Blitchtein; Juana Del Valle-Mendoza Journal: PLoS One Date: 2022-04-08 Impact factor: 3.240